Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review
Pneumoperitoneum in a preterm neonate usually indicates perforation of the intestine and is considered a surgical emergency. However, there are cases of pneumoperitoneum with no evidence of rupture of the intestine reported in the literature. We report a case of pneumoperitoneum with no intestinal p...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/6907329 |
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| author | Prabhavathi Gummalla Gratias Mundakel Maksim Agaronov Haesoon Lee |
| author_facet | Prabhavathi Gummalla Gratias Mundakel Maksim Agaronov Haesoon Lee |
| author_sort | Prabhavathi Gummalla |
| collection | DOAJ |
| description | Pneumoperitoneum in a preterm neonate usually indicates perforation of the intestine and is considered a surgical emergency. However, there are cases of pneumoperitoneum with no evidence of rupture of the intestine reported in the literature. We report a case of pneumoperitoneum with no intestinal perforation in a preterm neonate with respiratory distress syndrome who was on high frequency oscillatory ventilation (HFOV). He developed bilateral pulmonary interstitial emphysema with localized cystic lesion, likely localized pulmonary interstitial emphysema, and recurrent pneumothoraces. He was treated with dexamethasone to wean from the ventilator. Pneumoperitoneum developed in association with left sided pneumothorax following mechanical ventilation and cardiopulmonary resuscitation. Pneumoperitoneum resolved after the pneumothorax was resolved with chest tube drainage. He died from acute cardiorespiratory failure. At autopsy, there was no evidence of intestinal perforation. This case highlights the fact that pneumoperitoneum can develop secondary to pneumothorax and does not always indicate intestinal perforation or require exploratory laparotomy. |
| format | Article |
| id | doaj-art-0f596b540986467abfc69ed120325649 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-0f596b540986467abfc69ed1203256492025-02-03T05:58:51ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/69073296907329Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature ReviewPrabhavathi Gummalla0Gratias Mundakel1Maksim Agaronov2Haesoon Lee3Department of Pediatrics, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Pathology, Kings County Hospital Center, Brooklyn, NY, USADepartment of Pathology, Kings County Hospital Center, Brooklyn, NY, USADepartment of Pediatrics, SUNY Downstate Medical Center and Kings County Hospital Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USAPneumoperitoneum in a preterm neonate usually indicates perforation of the intestine and is considered a surgical emergency. However, there are cases of pneumoperitoneum with no evidence of rupture of the intestine reported in the literature. We report a case of pneumoperitoneum with no intestinal perforation in a preterm neonate with respiratory distress syndrome who was on high frequency oscillatory ventilation (HFOV). He developed bilateral pulmonary interstitial emphysema with localized cystic lesion, likely localized pulmonary interstitial emphysema, and recurrent pneumothoraces. He was treated with dexamethasone to wean from the ventilator. Pneumoperitoneum developed in association with left sided pneumothorax following mechanical ventilation and cardiopulmonary resuscitation. Pneumoperitoneum resolved after the pneumothorax was resolved with chest tube drainage. He died from acute cardiorespiratory failure. At autopsy, there was no evidence of intestinal perforation. This case highlights the fact that pneumoperitoneum can develop secondary to pneumothorax and does not always indicate intestinal perforation or require exploratory laparotomy.http://dx.doi.org/10.1155/2017/6907329 |
| spellingShingle | Prabhavathi Gummalla Gratias Mundakel Maksim Agaronov Haesoon Lee Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review Case Reports in Pediatrics |
| title | Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review |
| title_full | Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review |
| title_fullStr | Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review |
| title_full_unstemmed | Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review |
| title_short | Pneumoperitoneum without Intestinal Perforation in a Neonate: Case Report and Literature Review |
| title_sort | pneumoperitoneum without intestinal perforation in a neonate case report and literature review |
| url | http://dx.doi.org/10.1155/2017/6907329 |
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